Informed Consent

 
17% of survey complete.

Dear Participant:

My name is Brittany Ratliff, and I am a master’s level speech-language pathology student at East Tennessee State University.  I am working on a master’s thesis research study involving School-Based Speech-Language Pathologists (SLPs) and their caseload presentation in regards to children with Neonatal Abstinence Syndrome (NAS).  The name of the study is “Prevalence of Communication Disorders in Children with Neonatal Abstinence Syndrome on School Speech-Language Pathologists’ Caseloads.”

The purposes of this study are: (1) to determine if SLPs in the school system have known and suspected children with NAS on their caseloads, and (2) to examine SLPs’ experiences about the presentation of communication and any comorbid disorders in this population.  I would like to administer a brief survey to SLPs using SurveyMoney®.  It should only take 15 minutes to complete.  You will be asked questions regarding your professional demographic information as well as questions regarding your current caseload characteristics.  Since this project deals with your training and experiences as a SLP, no risks are involved.

Your confidentiality will be maintained to the degree permitted by the technology used.  Specifically, no guarantees can be made regarding the interception of data sent via the Internet by any third parties, as is the case with emails.  In other words, I will make every effort to ensure that your name is not connected with your responses.  Specifically, SurveyMonkey® has security features that will be enabled:  IP addresses will not be collected and SSL encryption software will be utilized.  Although your rights and privacy will be maintained, the ETSU IRB and personnel particular to this research, Brittany Ratliff, have access to the study records.

If you do not wish to fill out the survey, it will not affect you in any way.  You may skip any questions you do not wish to answer or simply exit the online survey form if you wish to remove yourself entirely.

Participation in this study is voluntary.  You may refuse to participate.  You may stop at any time.  If you stop or refuse to participate, the benefits or treatment to which you are otherwise entitled will not be affected.

If you have research-related questions or problems, you may contact me, Brittany Ratliff, at ratliffbv@etsu.edu.  Also, the chairperson of the Institutional Review Board at East Tennessee State University is available at (423) 439-6054 if you have questions regarding your rights as a research subject.  If you have questions or concerns about the research and want to talk to someone independent of the research team or you cannot reach the study staff, you may call an IRB Coordinator at (423) 439-6055 or (423) 439-6002.

Sincerely,

Brittany Ratliff, B.S.
Graduate Student/Clinician
Department of Audiology and Speech-Language Pathology
College of Clinical and Rehabilitative Health Sciences
East Tennessee State University
ratliffbv@etsu.edu

1. Checking the I AGREE button below indicates:

·         You have read the above information.

·         You voluntarily agree to participate.

·         You are 18 years of age or older.

·         You are a master’s level, ASHA certified, school-based SLP working in the United States.

Report a problem

T